Evidence map›Paper›PMID 33789610›Full record

Trial reportBMC pregnancy and childbirth2021

Effect of amino acid infusion during cesarean delivery on newborn temperature: a randomized controlled trial.

Krishna Pokharel, Asish Subedi, Mukesh Tripathi, Binay Kumar Biswas

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02575170 (Intravenous Amino Acid Infusion in Mothers Before and During Cesarean Delivery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02575170 nacompletednot on this map

Intravenous Amino Acid Infusion in Mothers Before and During Cesarean Delivery: Effects on Maternal and Neonatal Temperature

TypeinterventionalSponsorB.P. Koirala Institute of Health SciencesRan2013 to 2016Enrolled76ConditionsHypothermiaArmsAmino acid solution, Ringer's lactate solution
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Krishna PokharelDepartment of Anesthesiology and Critical Care, BP Koirala Institute of Health Sciences, Dharan, Nepal. drkrishnapokharel@gmail.com.
Asish SubediDepartment of Anesthesiology and Critical Care, BP Koirala Institute of Health Sciences, Dharan, Nepal.
Mukesh TripathiDepartment of Anesthesiology and Critical Care, All India Institute of Medical Sciences, Rishikesh, India.
Binay Kumar BiswasDepartment of Anesthesiology, ESI-Post Graduate Institute of Medical Science & Research, Kolkata, India.
B.P. Koirala Institute of Health Sciences · NPAll India Institute of Medical Sciences RishikeshESI - Post Graduate Institute of Medical Science and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of maternal amino acid (AA) infusion before and during cesarean delivery on neonatal temperature remains unknown. We hypothesized that thermogenic effects of AA metabolism would help maintain body temperature of newborn babies and their mothers.

methodsSeventy-six parturients scheduled for elective singleton term cesarean delivery were equally randomized to receive intravenous 200 ml of AA or placebo approximately 1 h before subarachnoid block (infusion rate:100 ml/h). The primary outcome was the newborn rectal temperature at 0, 5 and 10 min after birth. The secondary outcomes included the maternal rectal temperature at six time-points: T0 = before starting study solution infusion, T1 = 30 min after starting infusion, T2 = one hour after starting infusion, T3 = during spinal block, T4 = half an hour after spinal block, T5 = at the time of birth and T6 = at the end of infusion, as well as maternal thermal discomfort and shivering episodes.

resultsThere were no differences in newborn temperature between the two groups at any of the time-points (intervention-time-interaction effect, P = 0.206). The newborn temperature (mean [95%CI] °C) at birth was 37.5 [37.43-37.66] in the AA and 37.4 [37.34-37.55] in the placebo group. It showed a significant (P < 0.001) downward trend at 5 and 10 min after birth (time effect) in both groups. One neonate in the AA and five in the placebo group were hypothermic (temperature < 36.5 °C) (P = 0.20). There was a significant difference in the maternal temperature at all time points between the two groups (Intervention-time interaction effect, P < 0.001). However, after adjustment for multiplicity, the difference was significant only at T6 (P = 0.001). The mean difference [95%CI] in temperature decline from baseline (T0) till the end of infusion (T6) between the two groups was - 0.39 [- 0.55;- 0.22] °C (P < 0.0001). Six mothers receiving placebo and none receiving AA developed hypothermia (temperature < 36 °C) (P = 0.025). Maternal thermal discomfort and shivering episodes were unaffected by AA therapy.

conclusionsUnder the conditions of this study, maternal AA infusion before and during spinal anesthesia for cesarean delivery did not influence the neonatal temperature within 10 min after birth. In addition, the maternal temperature was only maintained at two hours of AA infusion.

trial registrationClinicalTrials.government, Identifier NCT02575170 . Registered on 10th April, 2015 - Retrospectively registered.

Indexed as

AdultAmino AcidsBody TemperatureCesarean SectionFemaleHumansHypothermiaInfant, NewbornInfusions, IntravenousIntraoperative CareIntraoperative ComplicationsMaternal-Fetal ExchangePregnancyProspective StudiesRinger's LactateTreatment OutcomeAmino AcidsRinger's LactateAmino acidCesarean deliveryHypothermiaNewbornSpinal anesthesia

Identifiers

PMID33789610
PMCPMC8011173
OpenAlexW3144382169

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.